DR. HUMBERTO RIVAS (NPI# 1376547919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376547919 |
| Entity Type | Individual |
| Full Name | DR. HUMBERTO RIVAS |
| Credential | M.D. |
| Practice Address |
1110 N Sarah Dewitt Dr Gonzales TX 78629-3311 |
| Practice Telephone | 8306728473 |
| Practice Fax Number | 8306723035 |
| Mailing Telephone | 8306728502 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 208000000X | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LI | J3202 | 01 |
| TX | 130892609 | 05 |
| Street Address |
1110 N SARAH DEWITT DR |
| City | GONZALES |
| State | TX |
| Zip Code | 78629-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649744301 | Terry Matthew Clay | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2019-01-16 |
| 1790283596 | Diana Marie Mikulencak-picha | Registered Nurse | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2018-01-26 |
| 1700231396 | Michael Mikesh | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-05-02 |
| 1285088377 | Steven Poteet | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-04-15 |
| 1255799755 | Karen Fortune | Speech-Language Pathologist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-29 |
| 1538527031 | Sheryl Breitschopf | Occupational Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-29 |
| 1932566577 | Sandra Johnston | Social Worker | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-27 |
| 1922465533 | Brittany Hill | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-27 |
| 1164840955 | Rikki Desiree Baldwin | Obstetrics & Gynecology | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2014-03-31 |
| 1164770996 | Victoria Emergency Partners LLC | Emergency Medicine | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2012-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032072 | Bruce Franklin Blackwell | Pharmacist | 1114 East Sarah Dewitt Drive, Gonzales, TX 78629 | 2020-10-30 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 1831663400 | Caitlin Walker | Clinic/Center | 1300 Captain Albert Martin Trail, Gonzales, TX 78629 | 2019-01-17 |
| 1497251698 | Vaz Urgent Care Clinic, Pa | Clinic/Center | 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 | 2018-04-05 |
| 1104348762 | Jeremiah Berryhill | Specialist/Technologist | 1711 E Sarah Dewitt Dr., Gonzales, TX 78629 | 2017-07-14 |
| 1073912861 | Gonzales County Senior Citizens Association, Inc | Home Delivered Meals | 818 Seydler Street, Gonzales, TX 78629 | 2014-08-18 |
| 1932544517 | Familylink Treatment Services | Counselor | 13326 Highway North 183, Gonzales, TX 78629 | 2013-05-08 |
| 1598035651 | H-e-b, Lp | Clinical Medical Laboratory | 1841 Church St., Gonzales, TX 78629 | 2012-01-06 |
| 1942441159 | Rebecca P. Bohach | Licensed Vocational Nurse | 228 St. George, Community Health Centers of South Central Texas, Inc, Gonzales, TX 78629 | 2009-03-18 |
| 1376763631 | Gonzales Isd | Local Education Agency (LEA) | 535 Fair St., Gonzales, TX 78629 | 2007-04-27 |
| Find all providers in zip 78629 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184069346 | Allison Renee Dupuis Prevost | Pediatrics | 2647 S Saint Elizabeth Blvd Ste 320, Gonzales, LA 70737-5017 | 2013-05-01 |
| 1023250222 | Cammie A Hilliard | Pediatrics | 1931 S Burnside Ave, Gonzales, LA 70737-4632 | 2009-04-02 |
| 1851438931 | Mary Thomas | Pediatrics | 2500 Sarah De Witt Dr., Gonzales, TX 78629 | 2007-01-30 |
| 1770840563 | Kortney West | Pediatrics | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2012-04-18 |
| 1720306558 | Tracy Wallace | Pediatrics | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2010-05-04 |
| 1497912521 | Sarah Wilks | Pediatrics | 1702 N Burnside Ave, Gonzales, LA 70737-2141 | 2008-05-16 |
| 1720078603 | Dawn Zitman | Pediatrics | 2647 S Riverview Blvd, Gonzales, LA 70737-5021 | 2005-10-24 |
| 1134112675 | Leyamma Mathew | Pediatrics | 721 E Highway 30, Gonzales, LA 70737-4715 | 2005-08-30 |
| 1932108651 | Madeleine Guerin | Pediatrics | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366635 | Colleen Jaurequi | Pediatrics | 309 Shepards Hill Dr, Rockwall, TX 75087-2850 | 2020-11-05 |
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1114525532 | Springs Pediatrics Associates Pllc | Pediatrics | 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 | 2020-10-16 |
| 1619575487 | Sreebhavi Professional Corporation | Pediatrics | 340 Hawkins Run Rd, Midlothian, TX 76065-6638 | 2020-10-14 |
| 1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.